Individual
JESSICA GEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
215 W MAIN ST, METAMORA, OH 43540-9785
(419) 250-0927
Mailing address
215 W MAIN ST, METAMORA, OH 43540-9785
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
0133741
OH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5035
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133741
OHIO DEPARTMENT OF PUBLIC SAFETY
OH
01
—
PTA-5035
STATE OF OHIO PT/OT/AT BOARD
OH
Enumeration date
04/06/2020
Last updated
04/06/2020
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